CN104981200B - System and method for the vital sign information for determining object - Google Patents
System and method for the vital sign information for determining object Download PDFInfo
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- CN104981200B CN104981200B CN201480007177.2A CN201480007177A CN104981200B CN 104981200 B CN104981200 B CN 104981200B CN 201480007177 A CN201480007177 A CN 201480007177A CN 104981200 B CN104981200 B CN 104981200B
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Abstract
The present invention relates to long-range photo-plethysmographic method and more particularly to a kind of system (1) and method for determining the vital sign information of object (100).The system comprises:Marker (10,10 ', 30,40,50,60,70), it is used to be applied to the skin of the object (104), the marker further include the light (A, B) for being configured as transmission first wave strong point the first label object area (11,11 ', 23,34b, 41,54b, 61b, 71b) and be configured as at transmission second wave length the second of light (C, D) mark object area (12,12 ', 24,35b, 42,55b, 62b, 72b);Probe unit (22) is used to detect the radiation received from the first label object area of the marker and the second label object area;And analytic unit (6), it is used to determine the vital sign information of the object according to the radiation detected from the first label object area and from the second label object area.
Description
Technical field
The present invention relates to a kind of system and method for determining the vital sign information of object.Specifically, of the invention
Relate to the optical measurement approach of the vital sign for the object observed by remotely determining.In this background, optics is surveyed
Amount also refers to photo-plethysmographic method (PPG), and more specifically refers to pulse oximetry.
Background technology
The vital sign (for example, heart rate (HR), respiratory rate (RR) or blood oxygen saturation) of people is used as the current shape to people
The indicant of state and as to the strong prediction objects of serious medical events.Therefore, vital sign in inpatient environment and
Clinic Nursing environment is in and is widely monitored in other health, leisure and fitness environment.
A kind of mode for measuring vital sign is plethysmography.Plethysmography is referred in general to organ or body
The measurement of the volume change of body portion, and specifically refer to being attributed to as heartbeat is advanced through object each time
The detection of the volume change of the cardiovascular pulse wave of body.
Photo-plethysmographic method (PPG) is the light reflectivity or the variation progress of light transmissive time-varying to area-of-interest or volume
The optical measuring technique of assessment.PPG absorbs the principle of more light based on blood than surrounding tissue, therefore blood volume is with every
The variation of heartbeat is accordingly influenced to transmit and be reflected.In addition to the information about heart rate, PPG waveforms also can include that can be attributed to
The information of other physiological phenomenons (for example, breathing).By to the transmissivity at different wave length (typically red and infrared)
And/or the assessment of reflectivity, it can determine blood oxygen saturation.
The skin of object is attached to for the heart rate of measurement object and the conventional pulse oximeter of oxygen saturation,
For example, finger tip, ear-lobe or forehead.Therefore, they are referred to as " contact " PPG equipment.Typically pulse oximeter includes:
Two pole of photoelectricity as the red LED and infrared LED of light source and for detecting the light for having passed through patient tissue
Pipe.Commercially available pulse oximeter between being measured with red wavelength and being measured with infrared wavelength rapidly
Switching, and thus measure the transmissivity of the same area or volume of tissue at two kinds of different wave lengths.It is multiple that this is referred to as timesharing
With.Transmissivity at each wavelength over time gives the PPG waveforms for red wavelength and infrared wavelength.Although connecing
Touch PPG is considered as the atraumatic technique on basis, but contact PPG measures experience and gets up usually not pleasant, this is
Because pulse oximeter is directly attached to object and any cable all limits mobile freedom.
Currently, contactless, the long-range PPG equipment for non-compulsory measurement has been had been incorporated into.Long-range PPG utilizes remote
Light source from object of interest setting, or be radiation source in general.Similarly, also can by detector (for example, camera or
Optical detector) it is arranged far from object of interest.Therefore, long-range photo-plethysmographic system and equipment be considered as it is non-compulsory and
And it is very suitable for medicine and non-medical daily use.
" the Contactless Multiple Wavelength Photoplethysmographic of Wieringa et al.
Imaging:A First Step Toward“SpO2Camera " Technology " (Ann.Biomed.Eng.33,1034-
Page 1041,2005) disclose it is a kind of for based on the measurement result of the plethysmographic signal at different wave length come to tissue
In arterial oxygen saturation carry out the long-range PPG systems of contactless imaging.The system comprises monochromatic CMOS cameras and tools
There are three types of the light sources of the LED of different wave length.Three sections of films of camera sequentially acquisition target.During every section of film, object
By the light source illumination with different wave length.Pulse frequency can be determined according to the film at single wavelength, and require in different waves
At least two sections of films of strong point determine oxygen saturation.It once only uses a kind of wavelength and executes the measurement in darkroom.Patient's quilt
Allow to move between the subsequent measurement at different wave length.Other problems are measurements in dark for non-compulsory medical application
It is unpractical with non-medical applications.
Invention content
The object of the present invention is to provide a kind of for determining the life entity of object in a manner of non-compulsory and is economical
The improved system and method for reference breath.It is advantageous to provide a kind of system for being operated under ambient light conditions and
Method.More advantageously, the system and method make it possible to the parallel of heart rate and oxygen saturation and may measure in real time.
In the first aspect of the present invention, it is proposed that a kind of system for determining the vital sign information of object, including:
Marker, is used to be applied to the skin of the object, and the marker further includes the first label object area and
Two label object areas, wherein the first label object area is configured as the light of transmission first wave strong point, second marker
Region is configured as the light at transmission second wave length,
Probe unit is used to detect from the first label object area of the marker and second marker
The radiation that region receives, and
Analytic unit, be used for according to from it is described first label object area and from the second marker regionally detecting to
Radiation determine the vital sign information of the object.
In other aspects of the present invention, the marker for being used in aforementioned system is rendered as including being configured as
Second marker area of the first label object area, the light being configured as at transmission second wave length that transmit the light of first wave strong point
Domain, and wherein, the marker is suitable for application to the skin of the object.
In other aspects of the present invention, the equipment for being used in aforementioned system be rendered as include:Probe unit,
It, which is used to detect from the first of the marker for the skin for being applied to the object, marks object area and the second marker area
The radiation that domain receives, wherein the first label object area is configured as the light of transmission first wave strong point, second label
Object area is configured as the light at transmission second wave length;And analytic unit, it is used to mark object area according to from described first
With from the second marker regionally detecting to radiation determine the vital sign information of the object.
In other aspects of the present invention, it is proposed that a method of the vital sign information for determining object, including
Following steps:
Detect the first label object area and the second label object area from the marker for the skin for being applied to the object
The radiation received, wherein the first label object area is configured as the light of transmission first wave strong point, second marker
Region is configured as the light at transmission second wave length, and
According to from the first label object area and from the second marker regionally detecting to radiation it is described to determine
The vital sign information of object.In embodiment, the method further includes that the marker is applied to the object
The step of skin.
In the another aspect of the present invention, a kind of computer program including program code unit, the journey are provided
Sequence code unit is used to that the step of computer program season computer executes proposed method ought to be executed on computers.
In addition, it is proposed that a kind of non-transient computer-readable storage media being wherein stored with such computer program product, it is described
Computer program product is executed in the step by processor operation season the method disclosed herein.
The preferred embodiment of the present invention is defined in the dependent claims.It should be appreciated that claimed marker, setting
Standby, method, computer program and medium have with the preferred embodiment of claimed system and in the dependent claims
The preferred embodiment of definition is similar and/or identical preferred embodiment.
The term " vital sign " used in the background of the invention refers to the physiological parameter of object and derived parameter.
Specifically, term " vital sign " includes heart rate (HR) (also sometimes referred to as pulse frequency), (pulse frequency changes heart rate variability
Property), fluctuation intensity, perfusion, perfusion indicant, perfusion variability, Traube Hering Mayer waves, respiratory rate (RR), body
The concentration (for example, oxygen saturation or glucose level) of temperature, blood pressure and blood and/or the substance in tissue.
The term " vital sign information " used in the background of the invention includes one or more surveys as defined above
The vital sign of amount.In addition, term " vital sign information " includes being related to physiological parameter, the data of corresponding waveform trace, or
Person relates to the data of the physiological parameter over time for subsequent analysis.
The present invention is based on such ideas:That is, can according to the spatially separated region of the tissue of parallel measurement or
Volume determines vital sign information, rather than sequentially measures the same area or volume of tissue at different wavelengths.It changes
Yan Zhi, present invention has been found that can according at different, spatially separated region or volume with the light of different wave length
Plethysmographic measurements results determines vital sign information.This can be considered as space division multiplexing.Advantage be can around ring
It is executed under conditions of the light of border and measures and do not require as proposed in the prior art with the in-order band illumination of different wave length.
According to an aspect of the present invention, marker is suggested including the first label object area and the second label object area,
In, the first label object area is configured as the light of transmission first wave strong point, and the second label object area is configured as
Penetrate the light at second wave length.Thus the first label object area and the second label object area are defined for described in determination
The spatially separated region of vital sign information.Each label object area is configured as the light at transmission different wave length, makes
The concentration of substance can be determined based on the comparison to the light at two kinds of different wave lengths by obtaining.Have to the use of marker following excellent
Point:That is, specific additional filtering need not be carried out at probe unit.Single probe unit can acquire the letter all required
Breath, this is beneficial for low system cost.
Optionally, the marker includes other label object areas for being configured as emitting the light at other wavelength.Feel emerging
Interesting wavelength further includes the nonvisible wavelength of electromagnetic radiation, including infrared wavelength and ultraviolet wavelength.
As used in this article, term " wavelength " also refers to the band or wavelength components of wavelength.This should be appreciated that
For the spectral limit with limited spectral width.For example, for optical filter, term wavelength refers to the passband of the filter.
Therefore, term wavelength is not limited to a single wavelength, but is also used for wave-length coverage, for example, several around centre wavelength receive
Rice or tens nanometers of wave-length coverage.In addition, the term wavelength in the background of filter can also refer to an identical filter
Multiple discontinuous spectral limits in wave device element.
As used in this article, term " probe unit " refers to the equipment for detecting electromagnetic radiation.Its by with
Detection is set to from the first label object area and the radiation received from the second label object area.In preferred embodiment
In, the probe unit is the camera for having imaging sensor (for example, CCD or cmos image sensor), and the camera includes
The array of light sensitive pixels.The output of the probe unit is referred to as radiation data.For example, the radiation data is over time
Image sequence, that is, video flowing.The camera can be monochrome cameras or color camera.RGB image for color camera passes
Sensor includes the color filter array with the filter for red, green and blue color channel.When using RGB color
When camera, the overall filtering characteristic of system includes that the transmissison characteristic of the label object area and the colour of the camera lead to
The filtering characteristic in road.In embodiment, the transmission peak wavelength of the first label object area be in first in RGB channel it
It is interior, and the transmission peak wavelength of the second label object area is within second in RGB channel.By correspondingly selecting institute
State the transmissison characteristic of label object area, additionally it is possible to detected by the frequency selectivity of RGB camera to support to first marker
Region and described second marks being spatially separating for object area.Thereby, it is possible to loosen to the first label object area and described the
The requirement of the transmissison characteristic of two label object areas, and reduce system cost.
The radiation received from the first label object area and the second label object area typically comprises two portions
Part.First, the light that the radiation received is included at the marker and/or is reflected at the skin surface, that is, do not penetrate
The tissue and the light for not carrying the information about the light absorption in the tissue.Secondly, the radiation received includes
The light for being penetrated into the skin and being reflected from the organization internal.The second part of the radiation received is attributed in institute
The time-varying for stating the interior focusing of tissue is absorbed and/or is transmitted and the intensity with time-varying.The interaction of light and biological tissue is multiple
Two-phonon process that is miscellaneous and including (multiple) scattering, backscattering, absorption, transmission and (unrestrained) reflection.Such as make in the background
Term " reflection " is not interpreted as being limited to mirror-reflection, but include the light and tissue of aforementioned type interaction and
It is arbitrarily combined.
Optionally, the system also includes for sending out the light at the first wave strong point and/or the second wave length
Light source, to ensure have the light at enough respective wavelength available.Also optionally, the system comprises control unit, the controls
Unit processed enables the probe unit to be operated with its optimum operating point for controlling luminous power, especially so that for example
Noise or alternative saturation effect not interference measurement.However, in a preferred embodiment, surrounding environment light is used only in the system.
The analytic unit is configured as visiting according to from the first label object area and from the second label object area
What is measured radiates to determine the vital sign of the object.The analytic unit receives the radiation from the probe unit
Data.In order to determine the heart rate of the object, to from single marking object area or even only from marker region exterior
Skin receive time-varying radiation carry out assessment be enough.However, in order to determine the concentration of substance, for example, for determination
Blood oxygen saturation or glucose level require the analysis to the radiation at different wave length as described above.The analysis is single
Member assesses the time varying signal from described two spatially separated label object areas, and thus to two kinds of wavelength
Concurrently assessed.For example, the light received from the first label object area is fallen in the part for the probe unit
In first group of pixel of imaging sensor, and the light from the second label object area is fallen the of described image sensor
In two groups of pixels.For better signal-to-noise ratio, the signal of one group of pixel can be combined.
According to preferred embodiment, the system also includes for identifying first marker in the radiation detected
The image processing unit in region and the second label object area.Described image processing unit is to be positioned in the probe unit
Optional element between the analytic unit.Described image processing unit receives radiation data, example from the probe unit
Such as, video flowing.Described image processing unit includes for being identified in the radiation data received at the image of the marker
Manage device.For example, the marker have can in the image of the video flowing identified specific features.Can apply from
Analysis method known to image procossing and video analysis.Within the marker, the first label object area and described the
Two label object areas are localized.Therefore, described image processing unit provides processed radiation data for the analytic unit,
The processed radiation data is included in the radiation data about the first label object area and second label
The information of the position of object area.For example, described image processing unit carrys out the radiation for indicating to receive in described image sensor
The pixel of part or the group of pixel that mark object area from described first and the radiation received come from second marker area
The pixel of the part in domain or the group of pixel are identified respectively.Described image processing unit can be integrated into the analytic unit
In.
In other embodiments, system according to the present invention further includes the carrying member for carrying the marker
Part.The load-carrying unit is to be at least used to accommodate the firstth area of the first label object area and for accommodating second label
Secondth area of object area is characterized.In general, the load-carrying unit can be considered as providing mechanical branch for the marker
The element of support, for example, a kind of patch of the skin of the object, label or similar structure can be attached to.It is described
Load-carrying unit can be by including that material below or one group of material are made:Paper, fabric, rubber or for patch (particularly for
The patch of medical application) other materials.
In another embodiment, the load-carrying unit further includes the institute for the load-carrying unit to be attached to the object
State the binder of skin.Since the load-carrying unit is directly attached to the skin of the object in a preferred embodiment,
Therefore using the binder of bio-compatible.
In still another embodiment, the first label object area and/or the second label object area include being attached to
To the optical filter disk of the load-carrying unit.The optical filter disk ensures only with desired wavelength or wavelength band
Light is transmitted.The type of filter panel includes absorbing filter and dielectric filter.Advantageously, the load-carrying unit includes opening
Mouth and the optical filter disk being positioned in the opening.The opening is also known as window or optical window.
According to alternative embodiment, the marker, which is included in the first label object area, is applied to the object
The skin the first dyestuff and/or the skin that is applied to the object in the second label object area
Second dyestuff.As the replacement to using optical filter disk, which uses coloured dye, wherein first dyestuff
Transmit the light at the light of first wave strong point and second dyestuff transmission second wave length.Although the optical filter disk is typical
Ground is attached to the carrier element, but the dyestuff can be applied directly to the skin of the object without
Carrier element.
In other embodiments, the marker further includes the reference zone for having predefined reflection characteristic.The reference
Region can be used in calibrating the probe unit, this is because the reflection characteristic for the preset range of wavelength is known.Tool
For body, when the system is equipped with optional light source and control unit, the reference zone in the radiation detected
It can be used in adjusting sensitivity and/or the power for adjusting the light source and/or the spectrum of the probe unit.The marker
Can also include more than one reference zone, wherein each reference zone has different reflection characteristics.For example, red ginseng
The reference zone that examination district domain is used to determine the luminous power in red spectrum area, and reflect infrared light is used to determine the light in infrared range
Power.Based on these measurement results, the sensitivity of the probe unit can be adjusted.Alternatively, time of measuring is adjusted to realize
Good signal-to-noise ratio enough.
Other aspects according to this embodiment, the reference zone is opaque.In other words, the reference zone blocking
By any light of the marker, but only the light being incident on the reference zone is reflected.This ensures from the ginseng
The radiation that examination district domain receives is substantially interference-free, especially not by the radiation from following Tissue reflectance or backscattering
Interference.Therefore, the light from the first label object area and/or the second label object area provides plethysmography information,
And the light from the reference zone does not carry plethysmography information and serves as reference.
In addition, the reference zone can be used in determining that any time interference of surrounding environment light or artificial light source or spectrum are dry
It disturbs, for example, the systematic influence of flicker or the pulsewidth modulation of slowly varying or such as light source the 50/60Hz during daytime.From
The intensity that the first label object area and/or the second label object area measure can be mended for such interference
It repays.
In still another embodiment, the marker further includes graphic style.The graphic style is suitable for can be by described point
Analysis unit is detected by optional described image processing unit in the radiation data.Preferably, described image pattern has
There is high picture contrast, for example, black and white pattern.Alternatively, the graphic style includes that can be clearly distinguished not
Same color.Expediently, the graphic style be optimised for it is machine readable, for example, bar code, matrix bar code, alphanumeric
Character, QR codes etc..For described image processing unit, specified graphic style is detected in observed scene and is not referred to than analysis
Fixed characteristics of image is easier.Optionally, the graphic style is the machine readable code for storing information, for example, for that will survey
The vital sign information obtained is assigned to patient's identifier of the body part of patient or the patient.Encoded information can wrap
Include for for determine configuration data that the system of vital sign information configured (such as, it is desirable that sensitivity) or
Information of the person about the vital sign information to be measured.Object area is marked to the first label object area and described second
Arrangement and the size and/or shape of carrier element can also be considered as graphic style.
Optionally, marker can be manufactured or adjust by the different layers of the marking ink on carrier element or dyestuff
's.The color or opacity of the ink can be regulated so that transmission or the correct intensity of blocking or spectral component.Alternatively
Or extraly, graphic style can be printed as the part of the marker.
In other embodiments, the first label object area and/or the second label object area include subregion.It changes
Yan Zhi, label object area can be made of multiple smaller sections.For example, subregion and/or the institute of the first label object area
The subregion for stating the second label object area is arranged with grid pattern.Which ensure that the first label object area and described second
Label object area is not separated too far each other, but general reference numeral object area still covers desired skin area.
The another aspect of the system according to the present invention, the marker further include being contacted with the marker for increasing
The object tissue in hemoperfusion stimulant.As explained above, photo-plethysmographic method depends on described group
The volume change of blood vessel in knitting.Therefore, in order to increase signal strength, it is desirable to ensure that be applied to life entity in the marker
There are enough blood flow in the blood vessel below the marker when levying the object to be determined.
Description of the drawings
With reference to embodiments described just below, these and other aspects of the present invention will be apparent and be explained
It is bright.In the following figures:
Fig. 1 shows the exemplary embodiment according to the present invention for determining the system of the vital sign information of object;
Fig. 2 shows the determinations using the system according to the present invention to vital sign information;
Fig. 3 shows the first example of marker;
Fig. 4 shows the second example of marker;
Fig. 5 shows the third example of marker;
Fig. 6 shows the example of the marker with subregion;
Fig. 7 shows the alternative example of the marker with subregion.
Specific implementation mode
Fig. 1 shows according to the present invention for determining that the demonstration of the system 1 of the vital sign information 7 of object 100 is real
Apply example.System 1 includes that the marker 10, probe unit 2 and analytic unit 6 of the skin for being applied to object 100 are used as base
Plinth component.In this example, using the system of the vital sign information for determining object in clinical setting, in the clinic
In environment, object 100 is lain on bed 103.
Marker 10 further includes the first label object area 11 of the light for being configured as transmission first wave strong point and is configured as
Transmit the second label object area 12 of the light at second wave length.Probe unit 2 is suitable for detecting the first marker from marker 10
Region 11 and second marks the radiation that object area 12 receives.In this example, probe unit 2 is connected to optical image security
Unit 4.Probe unit 2 provides the radiation data 3 for the radiation for indicating to detect in the form of video flowing to image processing unit 4.
Image processing unit 4 identifies that the first label object area 11 and second marks object area 12 in radiation data 3.Image processing unit
4 are then connected to analytic unit 6.Image processing unit 4 provides pretreated radiation data 5 to analytic unit 6.In the model
In example, pretreated radiation data 5 includes that the first marker is described in which area of the image about the video flowing of radiation data 3
Region 11 and second marks the information of object area 12.Analytic unit 6 then neutralizes the second label according to the first label object area 11
When intensity adjustable in object area 12 determines the vital sign information 7 of object.In this example, vital sign information includes heart rate
And blood oxygen saturation.
The first label object area 11 and second marks the image processing unit 4 of object area that can also be integrated into for identification
In analytic unit 6.Alternatively, radiation data 3 is supplied directly to analytic unit 6.It in this case, can be by video
Label object area is manually selected in the image of stream to determine that the first label object area 11 and second marks object area 12.Alternatively,
Object 100 with label 10 must be situated in the precalculated position within the visual field of probe unit 2 so that the first marker
Region 11 and second marks object area 12 to be positioned at scheduled position.However, being radiated by what image processing unit 4 carried out
It is preferred to the automatic identification of marker 10 in data 3.
In shown example, marker 10 is applied directly to the baring skin of the forehead 101 of object 100.Have
The alternate labels object 10 ' of first label object area 11 ' and the second label object area 12 ' is positioned in the left forearm 102 of object 100
Place.The size and shape of marker 10,10 ' can be adjusted according to anatomical location.
The scene is illuminated by such as radiation source of sunlight 7a or artificial light source 7b.Radiation source 7a, 7b directly or
Indirectly radiation 8a, 8b are sent out towards object 100.Additionally or alternately, system 1 can also include being sent out towards object 100
The optional system source 7c of light 8c.If ambient enviroment light source 7a, 7b do not provide enough light, or if surrounding environment light
The spectrum of source 7a, 7b do not provide enough power at first wave strong point and second wave length, then are outstanding to the use of system source 7c
Its is beneficial.
Optional control unit 9 is suitable for controlling the sensitivity of probe unit 2 and/or the power of control system light source 7c.By
In the dynamic range of the detector or imaging sensor that are used as probe unit 2 be limited, it is thus possible to must be according to being seen
Illuminating position in the scene examined adjusts shutter and electronic migration.System source 7c can be the setting probe unit of control ring
The part of the optimum operating point of 2 imaging sensor.It is optimal to refer to that output signal does not have signal wave elimination in the background
(clipping), be not present imaging sensor a bulk detector saturation, and at least for first mark object area and/
Or second label the corresponding detector region of object area good signal-to-noise ratio.
Fig. 2 illustrates the determination to the vital sign information of object using the system according to the present invention 1.Fig. 2 shows light
Source 21, probe unit 22 and the marker that object area 24 is marked with the first label object area 23 and second.The marker
It is applied to the skin histology 104 of object.The tissue includes blood vessel 105.
In this embodiment, light source 21 sends out (profit at least first wave strong point (being indicated using dotted lines) and second wave length
Indicated with dotted line) light.First label object area 23 is configured as the light of transmission first wave strong point, wherein the first wave length
It is corresponding with the first wave length of light source 21.Second label object area 24 is configured as the light at transmission second wave length, wherein described
Second wave length is corresponding with the second wave length of light source 21.Fig. 2 has sketched two light rays A, B and second wave length of first wave strong point
Two light rays C, the D at place.Since the first label object area 23 is configured as the light of transmission first wave strong point, ray A warps
It crosses marker and is penetrated into the skin 104 of object 100.Some in the light are absorbed within skin 104, while described
Some in light are reflected and reach probe unit 22 in the tissue.It absorbs and/or reflection characteristic is time-varying, and
Indicate using tissue 104 blood vessel 105 to tissue 104 time-varying perfusion.
Probe unit 22 includes the optical detector for receiving optical device (for example, receiver lens) and forming imaging sensor
Or the array 25 of pixel.The light received from the first label object area is imaged at first group of pixel or the first pel array 26
On.Accordingly, the light received from the second label object area 24 is imaged in second group of pixel 27.
Due to being time-varying to the absorption of light in tissue 104, it is incident on the imaging sensor of probe unit 22
Luminous intensity be also time-varying.The when intensity adjustable on pixel region 26 is depicted by curve 28.By curve 29 depict into
Penetrate the when intensity adjustable in the group 27 of pixel.
Since the first label object area is configured as only transmiting the light of first wave strong point, as indicated by light C,
Light at second wave length without label object area and is not penetrated into tissue.Nevertheless, some in the light can
It is scattered back at marker surface and reaches probe unit 22.The light is not modulated by the pulsatile change of blood volume,
And provide offset.Therefore, the time-varying that the intensity modulated described by curve 28 is attributed to the first wave strong point in tissue 104 is anti-
It penetrates.
Accordingly, the light D at second wave length can pass through the second label object area 24, and the light B of first wave strong point
It is blocked.Therefore, the intensity modulated described by curve 29 is attributed to the TVR time variable reflection of the second wave length in tissue 104.
The pulse frequency of object can according to one in curve 28 or 29 when intensity adjustable and be determined directly.However, such as
It exemplarily explains below, in order to determine blood oxygen saturation by photo-plethysmographic method, it is desirable that at least two wavelength.
Contact pulse oximeter typically transmits red (R) and infrared (IR) (or more accurately, in some feelings
It is near-infrared under condition) the light vascular tissue that passes through object of interest.It can be transmitted simultaneously in a manner of alternately (being switched fast)
Detect respective light part (R/IR).In view of respective spectrum part is by oxyhemoglobin (HbO2) and reduced hemoglobin
(Hb) it differently absorbs, blood oxygen saturation can finally be handled.Oxygen saturation (SO2) algorithm for estimating can use with it is red
The ratio of color part and the related signal of infrared part.In addition, the algorithm is it can be considered that non-pulsating signal component.Typically,
PPG signals include DC components and relatively small pulsation AC components.In addition, SO2Estimation is related to being applied to through processing in general
Value the calibration factor rule of thumb derived.Typically, which is that basis is related to invasive blood
The reference measurements of oxygen saturation measurements result and determination.Since PPG equipment substantially detects the ratio of (spectrum) signal section
Rate, the ratio must be converted into typically relating to HbO2With the oximetry value of the ratio of Hb, therefore it is required that calibration because
Son.For example, but be not intended to the disclosure is limited, general formula below can be based on to the estimation of blood oxygen saturation:
And PPG equipment is responded only according to the spectrum at least two wavelength to detect HbO indirectly2And Hb.
In general, the intensity curve 28,29 as characteristic signal measured is considered including the comparable constant portion (DC)
The part alternation (AC) divided and be superimposed upon on the parts DC.Measured using signal processing, can extract AC part and further
The parts AC are compensated for interference.For example, the parts AC of characteristic signal can include basic frequency, the basic frequency can be high
The angiokinesis of degree ground instruction object 100, especially heartbeat.Furthermore characteristic signal (the especially parts AC) can indicate other
Life parameters.In this contact, the detection to arterial oxygen saturation is the key areas of application.As indicated above,
In view of the behavior of the parts AC of the characteristic signals at the distinguishing spectrum part of characteristic signals, artery can be substantially calculated
Blood oxygen saturation representative value.In other words, it can reflect arterial oxygen saturation in the different radiation absorptions at blood vessel
Degree.Furthermore it is possible to add in the fact that also significant changes on different spectrum parts to the absorption difference for being attributed to oxidation level
To use.In addition, the parts DC of signal also can be used in blood oxygen saturation detection.Typically, DC representation in components tissue, venous blood
With the overall light absorption of non-pulsating arterial blood.In contrast, AC components can indicate the absorption of pulsatile arterial blood.Therefore, to dynamic
Arteries and veins blood oxygen saturation (SaO2) be determined to be expressed as:
Wherein, C is calibration parameter.C can represent many kinds of calibration parameters that can be applied to AC/DC relationships, and therefore
It should be understood with the stringent algebraically meaning of formula (2).For example, C can indicate fixed constant value, one group it is fixed often
Number or adjustable calibration parameter.By way of example, another demonstration SaO2Deriving model can be expressed as:
Wherein, C1And C2It can be considered as the calibration parameter of linear approximation.In an exemplary embodiment, signal calibration is joined
Number is determined to be instructed as to parameter C1It is adjusted or adjusts.Furthermore alternatively, SaO2Deriving can also be based on being placed in
The numerical value tables of (or can be accessed by equipment 1) in equipment 1.Numerical value tables (or database) can provide the PPG letters to detecting
The discrete representation of relationship number between desired calibration parameter.In this case it is also possible to the calibration ginseng that application can adjust
It counts to enhance the accuracy of life parameters determination.
It should be appreciated that formula (2) and (3) main purpose for being proposed for explanation.They are not necessarily to be construed as to this public affairs
The limitation for the range opened.In fact, technical staff can determine and establish other SaO appropriate2Derive model.Foundation will be detected
The substance of survey can use alternative wavelength combination (for example, green and red).Although being described in detail to SaO2Survey
Amount, but the example of this universal that should be understood as the concentration for measuring blood and/or the substance in tissue.
Fig. 3 shows the label used in the system 1 according to the present invention for determining the vital sign information of object
The more detailed embodiment of object.Marker 30 is with the first graphic style 32;Second graph pattern 33;Reference zone 34a, 35a,
36a、37a;It is configured as label object area 34b, 35b, 36b and the clear mark object area of the light at three kinds of different wave lengths of transmission
Domain 37b is characterized.
31 bearing mark object 30 of carrier element and its element, and mechanical stability is provided.In this embodiment, carrier member
Part 31 is the patch or adhesive bandage for the skin that object 100 can be directly attached to using binder.Carrier element is by impermeable
The opaque rubber-like material for penetrating light is made.Therefore, carrier element is at the position of label object area 34b, 35b, 36b, 37b
Opening or window be characterized.
Optical filter disk is placed in each of window 34b, 35b, 36b, wherein filter panel 34b is configured
To transmit the light of first wave strong point, filter panel 35b is configured as the light at transmission second wave length, and filter panel 36b is configured
For the light at transmission third wavelength.Object area 37b is marked not have frequency selective filter but be transparent, enabling
Skin under the 37b of region is considered as to the non-filtered reference of skin by probe unit.
Reference zone 34a, 35a, 36a are the reference zones for specific wavelength.Preferably, the color of reference zone corresponds to
In the transmission peak wavelength of neighbor filter.For example, marked region 34b is configured as transmission feux rouges and reference zone 34a is with red
Color so that reference zone 34a potentially acts as reference, especially available to being incident on how many feux rouges in the radiation on marker
Reference.
Graphic style 32 serves as alignment indicant.Geometry makes image processing unit 4 can determine marker 30
Position and/or orientation.In addition, marker 30 is characterized by the machine-readable graphics pattern 33 of QR code forms.The code include about
The information of object so that identified vital sign information can be assigned to object, for example, being assigned to electronic health record
(EHR).This yard can also include the information of which position of the body that object is attached to about marker so that for surveying
Amount position (such as forehead and arm) is the same time of specificity different measurement results to be taken from same object.
Even if Fig. 3 shows that various features, but not whole feature are all enforceable.Fig. 4 is shown there are two tools
Mark the most basic configuration of object area.In this example, marker is included in being directly applied in the first label object area
To the second dyestuff of the first dyestuff and the skin for being applied directly to object in the second label object area of the skin of object.
The dyestuff can be, for example, to be affixed one's seal, draw, spray or printed on the skin by rubber.The dyestuff quilt of first label object area
It is configured to the light of transmission first wave strong point, and the dyestuff at the second label object area is configured as at transmission second wave length
Light.Additional reference zone can correspondingly be applied.
Fig. 5 shows the side view of marker similar with the marker presented in Fig. 3.The marker is attached to pair
The skin 104 of elephant.Carrier element 51 is that marker 50 provides mechanical stability.In the skin 104 of 51 object-oriented of carrier element
Side on, carrier element 51 includes the binder 52 of the skin 104 for carrier element to be attached to object.Binder 52 also wraps
Include the stimulant of the hemoperfusion in the tissue 104 for increasing the object contacted with the carrier element 51 with marker 50.
On the opposite side of carrier element 51, marker 50 is with reference zone 54a, 55a and is configured as transmission first
The second label object area 55b of first label object area 54b of the light at wavelength and the light being configured as at transmission second wave length
It is characterized.This is by being placed in the position of the first label object area and the second label object area and being in turn laminated to carrier member
Optical filter disk 56,57 in part 51 is realized.Optionally, binder is not applied in marking object area 54b, 55b, with
Just the transmissison characteristic of label object area is not influenced.
Fig. 6 and Fig. 7 shows optical window and reference area with the first label object area and the second label object area
The different patterns in domain.In this example, the first label object area and the second label object area are divided into subregion.It can be according to spy
Location survey amount needs to select reference zone and the sample of the optical window including the first label object area and the second label object area
Formula.
For some measurements, the signal that each wavelength is obtained from the region of tissue closely separated is important.This
In the case of, there are several smaller optical windows to be advantageous, for example, according to board design.Fig. 6 is shown with for two kinds
The marker 60 of the board design of wavelength, the marker 60 have alternate reference zone 61a and for the of first wave length
One marks object area 61b and alternate reference zone 62a and the second label object area 62b for second wave length.For example,
For oxygen saturation measurement, red is as first wave length and infrared is as second wave length.
Fig. 7 shows the alternative embodiment of marker 70, wherein reference zone 71a, 72a and be directed to the first marker
The distribution of the optical window of region 71b, the second label object area 72b is optimized according to expected signal strength.For example, first
It is required that wavelength (for example, green) at the wavelength (for example, red) that is required than second of signal at signal it is stronger.Therefore, always
Second label object area 72b of body is increased relative to the first overall label object area 71b, with real at all two kinds of wavelength
Existing similar signal strength.
By way of example, the present invention can be applied to health care (for example, non-compulsory remote patient monitoring), lead to
In field with monitoring, safety monitoring and so-called life style environment (for example, health and fitness facilities etc.).Using can include:
The monitoring that oxygen saturation (pulse oximetry), heart rate, blood pressure, heart output and hemoperfusion are changed;To autonomic function
Evaluation;And the detection of human peripheral blood pipe disease.
It is such to illustrate and retouch although illustrating and describing the present invention in detail in the drawings and the preceding description
It should be considered as n-lustrative or exemplary to state, and not restrictive.The present invention is not limited to the disclosed embodiments.This field
Technical staff is when putting into practice claimed invention it will be appreciated that simultaneously real by studying attached drawing, disclosure and claim
Existing other variants of the disclosed embodiments.
In detail in the claims, one word of " comprising " is not excluded for other elements or step, and word "a" or "an" is not
It excludes multiple.The function of several recorded in the claims may be implemented in discrete component or other units.Although mutually not
It is identical to be recited in mutually different dependent certain measures, but this does not indicate that the group that these measures cannot be used to advantage
It closes.
Computer program can be stored/distributed on suitable non-transitory media, for example, together with other hardware or making
For optical storage medium or solid state medium that the part of other hardware is supplied, but can also be distributed otherwise, for example,
Via internet or other wired or wireless communication systems.
Any reference numeral in claim is all not necessarily to be construed as the limitation to range.
Claims (15)
1. the system (1) of vital sign information (7) of the one kind for determining object (100), including:
Marker (10,10 ', 30,40,50,60,70) is used to be applied to the skin (104) of the object, the marker
Further include the first label object area (11,11 ', 23,34b, 41,54b, 61b, 71b) and second label object area (12,12 ', 24,
35b, 42,55b, 62b, 72b), wherein the first label object area is configured as the light (A, B) of transmission first wave strong point, institute
The light (C, D) that the second label object area is configured as at transmission second wave length is stated,
Probe unit (2,22) is used to detect the first label object area from the marker and second label
The radiation that object area receives, and
Analytic unit (6) is used for according to the spy from the first label object area and from the second label object area
What is measured radiates to determine the vital sign information of the object.
2. system according to claim 1 further includes for identifying first marker area in the radiation detected
Domain (11,11 ', 23,34b, 41,54b, 61b, 71b) and it is described second label object area (12,12 ', 24,35b, 42,55b,
62b, 72b) image processing unit (4).
3. system according to claim 1 further includes for carrying the carrier element of the marker (31,51).
4. system according to claim 3, wherein the carrier element (31,51) further includes for the carrier is first
Part is attached to the binder (52) of the skin (104) of the object (100).
5. system according to claim 3, wherein it is described first label object area (11,11 ', 23,34b, 41,54b,
61b, 71b) and/or the second label object area (12,12 ', 24,35b, 42,55b, 62b, 72b) include be attached to it is described
The optical filter disk (56,57) of carrier element (31,51).
6. system according to claim 1, wherein the marker (40) is included in the first label object area (41)
In the first dyestuff of the skin for being applied to the object and/or being answered in second label object area (42)
Use the second dyestuff of the skin of the object.
7. system according to claim 1, wherein the marker (30,40,60,70) further include have it is predefined
The reference zone (34a, 35a, 36a, 54a, 55a, 61a, 62a, 71a, 72a) of reflection characteristic.
8. system according to claim 7, wherein the reference zone is opaque.
9. system according to claim 1, wherein the marker further includes graphic style (32,33).
10. system according to claim 1, wherein the first label object area (61b, 71b) and/or described second
It includes subregion to mark object area (62b, 72b).
11. system according to claim 1, wherein the marker further includes for increasing and the marker (50)
The stimulant (52) of hemoperfusion in the tissue (104) of the object (100) of contact.
12. one kind for used in system according to claim 1 (1) marker (10,10 ', 30,40,50,60,
70), including:
- the first label object area (11,11 ', 23,34b, 41,54b, 61b, 71b), be configured as transmission first wave strong point
Light (A, B),
- the second label object area (12,12 ', 24,35b, 42,55b, 62b, 72b), be configured as transmission second wave length at
Light (C, D), and
Wherein, the marker is suitable for application to the skin (104) of the object (100).
13. equipment of the one kind for being used in system according to claim 1 (1), including:
Probe unit (2,22) is used to detect the marker from the skin (104) for being applied to the object (100)
(10,10 ', 30,40,50,60,70) first label object area (11,11 ', 23,34b, 41,54b, 61b, 71b) and second mark
Note object area (12,12 ', 24,35b, 42,55b, 62b, 72b) radiation that receives, wherein the first label object area quilt
Be configured to transmission first wave strong point light (A, B), it is described second label object area be configured as transmission second wave length at light (C,
D);And
Analytic unit (6) is used for according to the spy from the first label object area and from the second label object area
What is measured radiates to determine the vital sign information (7) of the object.
14. the method for vital sign information (7) of the one kind for determining object (100), includes the following steps:
Detect the first mark from the marker (10,10 ', 30,40,50,60,70) for the skin (104) for being applied to the object
Remember object area (11,11 ', 23,34b, 41,54b, 61b, 71b and second label object area (12,12 ', 24,35b, 42,55b,
62b, 72b) radiation that receives, wherein the first label object area is configured as the light (A, B) of transmission first wave strong point,
The second label object area is configured as the light (C, D) at transmission second wave length, and
According to the radiation detected from the first label object area and from the second label object area to determine
State the vital sign information of object.
15. a kind of non-transient computer-readable storage media, wherein the computer program including program code unit is stored, institute
It states program code unit and is wanted according to right for the computer program season computer execution ought to be executed on computers
The step of seeking the method described in 14.
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US61/760,683 | 2013-02-05 | ||
EP13154017.1A EP2762066A1 (en) | 2013-02-05 | 2013-02-05 | System and method for determining vital sign information of a subject |
EP13154017.1 | 2013-02-05 | ||
PCT/EP2014/052143 WO2014122126A1 (en) | 2013-02-05 | 2014-02-04 | System and method for determining vital sign information of a subject |
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CN104981200B true CN104981200B (en) | 2018-10-16 |
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CN201480007177.2A Expired - Fee Related CN104981200B (en) | 2013-02-05 | 2014-02-04 | System and method for the vital sign information for determining object |
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EP (3) | EP2762066A1 (en) |
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Also Published As
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CN104981200A (en) | 2015-10-14 |
WO2014122126A1 (en) | 2014-08-14 |
CA2899988A1 (en) | 2014-08-14 |
JP2016508777A (en) | 2016-03-24 |
US9980650B2 (en) | 2018-05-29 |
MX2015009946A (en) | 2015-09-29 |
US10660524B2 (en) | 2020-05-26 |
EP2762066A1 (en) | 2014-08-06 |
EP2953530A1 (en) | 2015-12-16 |
US20140221847A1 (en) | 2014-08-07 |
RU2688445C2 (en) | 2019-05-21 |
CN104968259A (en) | 2015-10-07 |
BR112015018351A2 (en) | 2017-07-18 |
ZA201506510B (en) | 2017-08-30 |
RU2015137775A (en) | 2017-03-13 |
JP6525890B2 (en) | 2019-06-05 |
JP2016511659A (en) | 2016-04-21 |
CN104968259B (en) | 2018-07-13 |
US20150366455A1 (en) | 2015-12-24 |
WO2014122577A1 (en) | 2014-08-14 |
EP2953529A1 (en) | 2015-12-16 |
JP6388604B2 (en) | 2018-09-12 |
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